How noisy are total knee and hip replacements?

J Perioper Pract. 2017 Dec;27(12):292-295. doi: 10.1177/175045891702701204.

Abstract

Orthopaedic theatre can be noisy. Fifty percent of orthopaedic theatre staff have features of noise-induced hearing loss (NIHL). In this study, decibel (dB) levels were recorded in 17 total knee replacements (TKRs) and 11 total hip replacements (THRs). Noise levels reached 105.6dB(A) using a hammer and 97.9dB(A) with an oscillating saw. Exposure to levels above 90dB (which occurred in every case) even for short time periods is proven to cause irreversible loss of hearing. Tools used in orthopaedic theatre produce impulse noises that can cause NIHL. Further investigation is required.

Keywords: Arthroplasty; Noise-induced hearing loss; Orthopaedic surgery; Orthopaedic tools.

MeSH terms

  • Arthroplasty, Replacement, Hip* / instrumentation
  • Arthroplasty, Replacement, Knee* / instrumentation
  • Hearing Loss, Noise-Induced / etiology*
  • Humans
  • Noise / adverse effects
  • Occupational Exposure / adverse effects
  • Occupational Exposure / analysis*
  • Orthopedic Equipment
  • Orthopedics